PAID Rates
Form F-HPACC-24-FL Accident Policy Rate Schedule Weekly Premium Bi ‐ Weekly Premium Semi ‐ Monthly Premium
Monthly Premium
One Unit
Two Units One Unit
Two Units One Unit
Two Units One Unit
Two Units
24 ‐ Hour Coverage
Employee Employee/ Spouse Employee/ Child
$1.90
$3.10
$3.81
$6.21
$4.13
$6.73
$8.25 $13.45
$3.69
$6.00
$7.38 $12.00 $8.00 $13.00 $16.00 $26.00
$3.86
$6.06
$7.73 $12.11 $8.38 $13.13 $16.75 $26.25
Family
$6.00
$9.46 $12.00 $18.92 $13.00 $20.50 $26.00 $41.00 Off-the-Job Coverage Only
Employee Employee/ Spouse Employee/ Child
$1.72
$2.81
$3.44
$5.63
$3.73
$6.10
$7.45 $12.20
$3.40
$5.58
$6.81 $11.17 $7.38 $12.10 $14.75 $24.20
$3.69
$5.77
$7.38 $11.54 $8.00 $12.50 $16.00 $25.00
Family
$5.71
$9.00 $11.42 $17.99 $12.38 $19.50 $24.75 $39.00
Wellness Rider
Weekly Premium
Monthly Premium
Bi ‐ Weekly Premium
Semi ‐ Monthly Premium
Employee Employee/ Spouse Employee/ Child
$1.04
$2.08
$2.25
$4.50
$2.08
$4.15
$4.50
$9.00
$2.08
$4.15
$4.50
$9.00
Family
$3.18
$6.37
$6.90
$13.80
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